Dilation and Curettage LOCATION: Outpatient, Hospital PATIENT:

Dilation and Curettage LOCATION: Outpatient, Hospital PATIENT: Jenny Price ATTENDING PHYSICIAN: Andy Martinez, MD SURGEON: Andy Martinez, MD PREOPERATIVE DIAGNOSIS: Menorrhagia. POSTOPERATIVE DIAGNOSES Endometrial polyps. PROCEDURE PERFORMED: Dilatation and curettage of the uterus and hysteroscopy. ANESTHESIA: General. SURGICAL INDICATIONS: This patient is a 35-year-old female who has been having prolonged and heavy bleeding. Ultrasound had suggested thickened endometrium. OPERATIVE FINDINGS: On pelvic exam under anesthesia, the uterus was anterior upper normal size and firm. Adnexa revealed no masses. The uterus was 8.5 cm deep on sounding. She had a few small endometrial polyps in the lower uterine segment. Both tubal ostia were easily visualized. DESCRIPTION OF PROCEDURE: After induction of general anesthesia, the patient was placed in the dorsolithotomy position, after which the perineum and vagina were prepped, the bladder straight catheterized, and the patient draped. After bimanual examination was performed, a weighted speculum was placed in the vagina, and the anterior lip of the cervix was grasped with a single tooth tenaculum. An endocervical curettage was then done with a Kevorkian curet. The uterus was then sounded to 8.5 cm. The endocervical canal was dilated to 7 mm with Hegar dilators. At 5.5 mm, an Olympus hysteroscope was introduced using LR as the distension medium. The cavity was systematically inspected and the above findings noted. The hysteroscope was withdrawn and the cervix further dilated to 10 mm. Polyps forceps was introduced and a few small polyps were removed. These were sent separately. Sharp endometrial curettage was then done. The hysteroscope was then reinserted and the polyps had essentially been removed. Blood loss was 5-10 cc. Specimen to pathology: endocervical curettings, endometrial curettings, and endometrial polyps. The patient tolerated the procedure well and returned to the recovery room in stable condition. Pathology Report Later Indicated: Endocervical curettings, benign; endometrial curettings, benign; and endometrial polyps, benign. CPT Code(s): ICD-10-CM Code(s):

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."